Laserfiche WebLink
<br />..---- <br /> <br />APPLICATION POll PDllXr <br />OIT! 0' Z&PIIDBlLLS <br />8U1LDUO DBPAl.11IBI1' <br /> <br />, "'1.' <br /> <br />J',' <br /> <br />OWNER'S IWIR D A i \/ ~ l\ a <j e ~l..\', l d-e { S PROI. g g 1 ':"1. ~ lo(P <br />OWER'S ANIIi"~fv{ If p R 1YvlC~ I ~\~ ~l'~ 33~l <br />JOB ADDRRJU:c' 1 ~ S', \ vt'r 0(-\ ~s D <<- <br />LEGAL DUaurt101 = UJT(S) , 1 BI.OOIL-.-.JiUBDlVISI06.i.\ I ~ e .(' ()A \-\ S <br />PARCBL 1.0.' ~ -~Io" L' - 0 I z.. fl. - (')(''''YYjO . I::iYjn' (OBTAI. P'ROM PIIDPDTY TAl ROTICE) <br /> <br />YOU PROPOSBD I <br /> <br />-ev Coaatnctioo ~it1oa ---4ltuatioo ~ <br /> <br />Tnatall <br /> <br />--JJiao. ' <br /> <br />---.lkwe <br /> <br />~l:lab. <br /> <br />PROPOSED USia -5iD&le 1'-il7 <br />_ec-eRial <br /> <br />__/r <br />_Iaduet. <br /> <br />IZf lIn1t8 <br />"la. Pool <br /> <br />--.JUS <br /> <br />_O~.r <br /> <br />...taunat , Health Departaent Approval <br />DBSClUPTIO. 01' ~I L <br /> <br />" ' <br /> <br />aun..uUG SUI. <br /> <br />x <br /> <br />, <br /> <br />Square Peet, <br /> <br />Beiabt <br /> <br />IlISIDBI'l"IAL: A'lTACII (2) n.or I'LAlIS . (2) SBrs 01' BUIl.DDlG PLAliS . (1) sIr IIIRG1 FOIUI8. <br />COMMD.CUL = ArrACB (3) SDS OF BUILDIIG PLAIS . (1) SIT IIIRGY POlIS. <br />PIOPIIft SURVlt QqIJDBD POll ALL II. COIISTBUCT1ON. <br /> <br />...,6U1LDUG <br /> <br />.. <br /> <br />oC> PDMtm 'RnURATRb <br />r ~ I SOO I Valuatloo of Total Coutl'UCtioA <br /> <br />Rr.RCDlCAL <br /> <br />AIIP service <br /> <br />plod.. love&' Cocp. <br /> <br />" <br /> <br />I.V....I.C. <br /> <br />~cw. <br />-JlAMBDG <br /> <br />.. <br /> <br />_ IIY I <br /> <br />Valuation or Ilechlaica1 IaataUatioA <br /> <br />.Ii HU <br /> <br />T GAS <br /> <br />.OOPlllG <br /> <br />SI'BCULft . <br /> <br />TlPB OF CXJDTIuft,'X.I.OII; <br /> <br />B1oc:k <br /> <br />---.J~ _____ue~ <br /> <br />Other <br /> <br />PII1S8ID I'LOO& BLlYArlOaS I <br /> <br />lIT. <br /> <br />IS RlDJBCt U .PI.OOD 101. AlIA, <br /> <br />'- <br /> <br />Si8Datu.re <br /> <br /> <br />.......................................... <br /> <br />118 110 <br /> <br />w~.nu <br /> <br />" <br /> <br /> <br />Signature <br /> <br />State CUt. or "aut. . <br />City Liceue lle&i8tratioa . <br />. ........................... <br /> <br />PLlIIBp <br /> <br />Slanature <br /> <br />CXIIPAIY. <br />State GeR. OC _!aC. , <br />City' Ltc... ReaiatratiOll , <br />............*.*... <br /> <br />. . <br /> <br />City LiC8ll8e 1leaietratioa . <br />.......................... <br /> <br />O'I'IIRR <br /> <br />~ 0lIIlll M1 U 1Q)1/ 5 <br />(jt ~ 8taU o.rt. OJ: ",ut. . <br />~ City Lic:eaae 1.ql8tratloll . <br />. ~....~............................... <br /> <br /> <br />Si&aatute <br /> <br />APPLICATIU AI'nOVIP IY <br /> <br />PllllIT OPnCBa. <br /> <br />- - - - - - - - - - JAN:'0S:' -; 95- THl( 10: 16- I D: -- -- -- -- - - - - -- -- - -- - - TEL-No -; -- -- - -- - - - - - -- - - - - - -- **133- P02 - - - - - - - - - - - - .. - <br />